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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 573607080
Report Date: 04/06/2022
Date Signed: 04/06/2022 11:51:53 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2022 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220321083854
FACILITY NAME:CATALYST KIDS - MONTGOMERYFACILITY NUMBER:
573607080
ADMINISTRATOR:ZAAHIDA KHANFACILITY TYPE:
840
ADDRESS:1441 DANBURY ST.TELEPHONE:
(530) 297-5014
CITY:DAVISSTATE: CAZIP CODE:
95618
CAPACITY:70CENSUS: 0DATE:
04/06/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Associate Teacher, Savanah CovarrubiasTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent day care child from wandering away from facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Chayntel Hunter and Salene Mayberry met with Associate Teacher, Savanah Covarrubias to deliver the findings of the complaint investigation regarding the above allegation.
During the course of the investigation, LPAs conducted interviews, and obtained information pertaining to the above allegation. It was alleged that staff did not prevent a child (C1) from wandering away from the facility. Interviews revealed that although C1 had walked away from the facility, a staff were present and provided visual supervision, and made multiple attempts to redirect C1 back to the facility.

Based on the information obtained throughout the course of this investigation the above allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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